INTRODUCTION

GASTORAB 20 TABLET contains Rabeprazole which belongs to the group of medicines called Proton pump inhibitors. It is used to treat Gastro-esophageal Reflux Disease (GERD), peptic ulcer and Zollinger-Ellison syndrome (tumours in the pancreas causing the stomach to secrete more acid).

GERD is a chronic digestive disease in which the stomach acid frequently flows into the oesophagus leading to the irritation of lining of the food pipe. Symptoms include heartburn, chest pain, nausea, sensation of lump in throat and stomach discomfort.

Peptic ulcers are painful sores that develop on the linings of the stomach, oesophagus and/or intestines. Symptoms include stomach pain, flatulence, indigestion, vomiting and fatigue.

Take GASTORAB 20 TABLET preferably before meals or as directed by the physician. Before taking GASTORAB 20 TABLET inform your doctor if you have any liver problems. You must also inform your doctor if you have vitamin B12 deficiency, osteoporosis or any tumors in your stomach.

Do not take GASTORAB 20 TABLET if you are pregnant or breastfeeding without consulting your doctor. The most common side effects of taking GASTORAB 20 TABLET are oral sores, constipation, indigestion, stomach pain, headache and dizziness. Consult your doctor if any of the side effect troubles you.

You must also inform your doctor immediately if you experience severe uncontrollable diarrhea with stomach pain or tenderness after taking GASTORAB 20 TABLET.

USES OF GASTORAB 20 TABLET

• Treats Gastro-Esophageal Reflux Disease
• Treats and Prevents Peptic ulcers
• Treats Zollinger-Ellison syndrome

HOW GASTORAB 20 TABLET WORKS

GASTORAB 20 TABLET is a proton pump inhibitor. It reduces the amount of acid produced in the stomach by blocking the actions of an enzyme called H+ K+ ATPase (also known as proton pump) which is present in the lining of the stomach walls. As a result, it reduces the chances for acid reflux into the oesophagus, heals peptic ulcers and esophageal lesions and prevents its recurrence.

DIRECTIONS FOR USE

Take GASTORAB 20 TABLET as advised by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine. It is preferably taken in the mornings or at any time of the day before meals.

Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body weight and disease condition.

SIDE EFFECTS OF GASTORAB 20 TABLET

HOW TO MANAGE SIDE EFFECTS

Nausea and vomiting:

Take GASTORAB 20 TABLET with or just after a meal or a snack. Stick to simple meals. Avoid eating rich or spicy food. Consult your doctor if your nausea worsens.

Dizziness:

Try to rest and relax. Get enough sleep. Avoid driving or operating any tools or machines completely while you are feeling dizzy. Do not consume excessive alcohol, as it could aggravate your dizziness. Consult your doctor if your dizziness worsens.

Headache:  

Rest and relax. Keep yourself hydrated by drinking plenty of fluids such as water or electrolytes. Applying a pain-relieving balm on your forehead can be beneficial. Do not consume excessive alcohol, as it could aggravate your headache. Consult your doctor if your headache worsens.

Constipation:

Eat plenty of fibre rich foods such as fresh fruits, vegetables, and cereals. Drink plenty of fluids. Exercise more regularly. Consult your doctor if this side effect bothers you.

Diarrhea:

Drink plenty of fluids, such as water or fruit juice to keep yourself hydrated. Consuming ORS can also be beneficial. Do not consume any medicine on your own without consulting your doctor. If your diarrhea worsens, contact your doctor immediately.

WARNING & PRECAUTIONS

PREGNANCY

GASTORAB 20 TABLET is generally not recommended for use in pregnant women. Therefore, consult your doctor before taking it.

BREASTFEEDING

GASTORAB 20 TABLET is generally not recommended for use in breastfeeding women. Therefore, consult your doctor before taking it.

DRIVING AND USING MACHINES

Do not drive or operate any machines if you feel sleepy after taking GASTORAB 20 TABLET.

LIVER

GASTORAB 20 TABLET should be used with caution in patients who have or ever had any liver problems. Therefore, consult your doctor before taking it.

ALLERGY

Do not take GASTORAB 20 TABLET if you are allergic to Rabeprazole or to any other proton pump inhibitors (such as omeprazole, esomeprazole).

INTERACTIONS

A. Drug – Drug Interactions:

Before taking GASTORAB 20 TABLET, inform your doctor if you are taking any of the following medicines such as:

• medicines used to treat fungal infections (Ex. ketoconazole or itraconazole)
• medicines used to treat HIV-infection (Ex. atazanavir)
• chemotherapy medicine used in high doses to treat cancer (Ex. methotrexate)
• corticosteroids (used to treat pain and inflammation) such as prednisolone

Overdosage:

If you or anyone else accidentally took more GASTORAB 20 TABLET, consult your doctor immediately or visit the nearby hospital.

SYNOPSIS

MORE INFORMATION

• Keep GASTORAB 20 TABLET out of reach of children
• Store GASTORAB 20 TABLET at room temperature

FAQs ABOUT GASTORAB 20 TABLET

What are the uses of GASTORAB 20 TABLET?

GASTORAB 20 TABLET is used to treat Gastro-esophageal Reflux Disease (GERD), peptic ulcer and Zollinger-Ellison syndrome (tumours in the pancreas causing the stomach to secrete more acid).

How GASTORAB 20 TABLET works?

GASTORAB 20 TABLET is a proton pump inhibitor. It reduces the amount of acid produced in the stomach by blocking the actions of an enzyme called H+ K+ ATPase (also known as proton pump) which is present in the lining of the stomach walls. As a result, it reduces the chances for acid reflux into the oesophagus, heals peptic ulcers and esophageal lesions and prevents its recurrence.

How long will it take for GASTORAB 20 TABLET to cure my disease?

The time taken for healing depends on the severity of the disease. You may notice improvement in your condition within 1-2 days of therapy with GASTORAB 20 TABLET. However, it may take several weeks for GASTORAB 20 TABLET to completely heal the ulcers.

When should I take GASTORAB 20 TABLET?

GASTORAB 20 TABLET should be taken on an empty stomach at mornings. It can also be taken before a meal. Swallow GASTORAB 20 TABLET with a glass of water.

What are the long-term side effects of GASTORAB 20 TABLET?

Taking GASTORAB 20 TABLET especially over the time of a year can slightly increase the risk of hip, wrist, or spine fracture. Inform your doctor if you suffer from osteoporosis or if you are taking corticosteroids which can increase the risk of osteoporosis. It may also cause vitamin B12 deficiency and low magnesium levels in the blood.

Can I stop taking GASTORAB 20 TABLET once my symptoms subside?

Do not stop taking GASTORAB 20 TABLET without consulting your doctor even if you feel better during the midway of the therapy. Make sure to take GASTORAB 20 TABLET for the stipulated duration recommended by your doctor to achieve complete healing of ulcers.

What is the best time to take GASTORAB 20 TABLET?

GASTORAB 20 TABLET should be taken while you are on empty stomach in the morning. It can also be taken before a meal.

What to do if I forgot to take a dose of GASTORAB 20 TABLET?

If you have missed a dose of GASTORAB 20 TABLET, take it as soon as you remember. However, if it is time for the next dose of GASTORAB 20 TABLET, skip the missed dose and take the next one regularly. Do not take a double dose of GASTORAB 20 TABLET to compensate the missed ones.

What precautions should be followed while taking GASTORAB 20 TABLET?

Before taking GASTORAB 20 TABLET inform your doctor if you have any liver problems. You must also inform your doctor if you have vitamin B12 deficiency, osteoporosis or any tumors in your stomach. Do not take GASTORAB 20 TABLET if you are pregnant or breastfeeding without consulting your doctor. Regularly visit your doctor and take all the necessary blood test recommended by your doctor without fail. You must also inform your doctor immediately if you experience severe uncontrollable diarrhea with stomach pain or tenderness after taking GASTORAB 20 TABLET.

Can I consume alcohol while taking GASTORAB 20 TABLET?

Avoid consumption of alcohol while taking GASTORAB 20 TABLET as it could aggravate your ulcers and delays the healing process.

Can I take GASTORAB 20 TABLET daily?

Take GASTORAB 20 TABLET as advised by your physician. Your doctor will evaluate your health condition and suggest whether can you take GASTORAB 20 TABLET every day or not.

Can the use of GASTORAB 20 TABLET affect the liver?

Yes. GASTORAB 20 TABLET may affect the way your liver work. Therefore, it should be used with caution in patients with liver problems. Consult your doctor before taking it.

Can GASTORAB 20 TABLET be taken during pregnancy?

GASTORAB 20 TABLET is not recommended for use in pregnant women. Therefore, consult your doctor before taking it.

REFERENCES

1. KD. Tripathi. Drugs for Peptic Ulcer and GERD. Essentials of medical pharmacology. Seventh edition. 2013. Page – 653

2. Seiichi Hayato, Setsuo Hasegawa, Seiichiro Hojo, Hiroki Okawa, Hiroaki Abe, Nobuyuki Sugisaki, Masahiro Munesue, Yukio Horai, Akihiro Ohnishi. Dose-response relationships of rabeprazole 5, 10, 20, and 40 mg once daily on suppression of gastric acid secretion through the night in healthy Japanese individuals with different CYP2C19 genotypes. NIH National Library of Medicine, National Center for biotechnology information. Pubmed.gov. May 2012. [Accessed on 1st October 2022]. https://pubmed.ncbi.nlm.nih.gov/22108775/

3. Eisai GmbH. Electronic Medicines Compendium (EMC). Revised in May2021. [Accessed on 10th May 2022]. https://www.medicines.org.uk/emc/files/pil.7867.pdf

4. Eisai R&D Management Co., Ltd. U.S. Food and Drug Administration. [Revised in December 2014]. [Accessed on 1st October 2022]. https://www.accessdata.fda.gov/drugsatfda_docs/label/2014/020973s035204736s005lbl.pdf

5. Veloz 40. Rabeprazole Gastro-resistant Tablet. Torrent Pharmaceutical Ltd. [Revised in June 2022]. [Accessed on 1st October 2022]. https://www.torrentian.com/pisheet/Upload/PI_Sheet/3112.pdf

USEFUL DIAGNOSTIC TESTS

• Ultrasound
• Endoscopy
• Liver Function Test
• Complete Blood Count

AUTHOR DETAILS

Written By Srilekha. R, B.Pharm
Last updated on 03 Oct 2022 | 02:12 PM(IST)